THCB Gang Episode 14, Friday November 14

Joining Matthew Holt (@boltyboy) on #THCBGang on Thursday November 14 at 1PM PT 4PM ET. Today we have also a special guest – former Permanente Medical Group CEO Dr Robbie Pearl @robertpearlmd. Robbie has been diving into AI in his latest book ChatGPT-MD and we’ll be chatting about that as well as his forecasts for health…

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Beyond Ivy League, RFK Jr.’s NIH Slashed Science Funding Across States That Backed Trump

The National Institutes of Health’s sweeping cuts of grants that fund scientific research are inflicting pain almost universally across the U.S., including in most states that backed President Donald Trump in the 2024 election. A KFF Health News analysis underscores that the terminations are sparing no part of the country, politically or geographically. About 40%…

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Do US commercial payers consider HTA and economic evidence when making coverage decisions?

That is the question asked in a new paper by Enright, et al. (2025). The authors use the Tufts Medical Center Specialty Drug Evidence and Coverage (SPEC) database current as of August 2023.  This database contains publicly available specialty pharmacy coverage decisions as issued by 18 large US commercial health plans, which—collectively—cover 200m people (i.e.,…

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Pharmacists Embrace Provider Status in Healthcare, but Hurdles Remain

Despite the evidence of their positive impact, pharmacists today lack the ability to reliably bill for clinical services as healthcare providers. It is important that payers provision pharmacists, include them in networks, and enable reimbursement through traditional billing models. The post Pharmacists Embrace Provider Status in Healthcare, but Hurdles Remain appeared first on MedCity News.

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